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1457506305
PATRICK S ENNIS
SANTA ROSA, CA
NPI
1457506305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcs18208)
Enumeration Date
2008-11-19
Last Update Date
2022-02-11
Business Address
Mr. PATRICK S ENNIS LCSW
320 10TH ST SUITE 205
SANTA ROSA, CA 95401-5291
Phone number: 707-523-6939
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Mailing Address
Mr. PATRICK S ENNIS LCSW
320 10TH ST SUITE 205
SANTA ROSA, CA 95401-5291
Phone number: 707-523-6939
Copy
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